Provider Demographics
NPI:1376176297
Name:HAMILTON, SARAH MADDY (BIRTH DOULA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:MADDY
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:BIRTH DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 BELMONT RD
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82604-4687
Mailing Address - Country:US
Mailing Address - Phone:307-267-3115
Mailing Address - Fax:
Practice Address - Street 1:2701 BELMONT RD
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82604-4687
Practice Address - Country:US
Practice Address - Phone:307-267-3115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY2019-000873295374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula